Kulak Burun Bo\u011faz Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. G\u00f6khan G\u00fcvener, vir\u00fcs enfeksiyonunun bulgusu olan bo\u011faz a\u011fr\u0131s\u0131n\u0131n, ki\u015finin ya\u015fam konforunu bozarak b\u00fcy\u00fck s\u0131k\u0131nt\u0131lara yol a\u00e7t\u0131\u011f\u0131n\u0131 belirtti.<\/p>\n
<\/p>\n
Avusturya Sen Jorj Hastanesi Kulak Burun Bo\u011faz Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. G\u00f6khan G\u00fcvener, \u201cBo\u011faz a\u011fr\u0131s\u0131 bir\u00e7ok rahats\u0131zl\u0131\u011f\u0131n belirtisi olarak ortaya \u00e7\u0131kabilir. Bo\u011fazda yanma ve hassasiyet olarak da ifade edilen ve yutkunmakla \u015fiddetlenen bu \u015fikayetin en s\u0131k sebebi enfeksiyonlard\u0131r. Enfeksiyonlar \u00e7o\u011funlukla vir\u00fcs k\u00f6kenlidir. (So\u011fuk alg\u0131nl\u0131\u011f\u0131, grip ve enfeksiyoz monon\u00fckleoz vir\u00fcsleri gibi) Yine k\u0131zam\u0131k, su\u00e7i\u00e7e\u011fi gibi vir\u00fcs hastal\u0131klar\u0131n\u0131n da d\u00f6k\u00fcnt\u00fclerin yan\u0131 s\u0131ra, bo\u011faz a\u011fr\u0131s\u0131 yapabilecekleri unutulmamal\u0131d\u0131r.\u201d diye ifade etti.<\/p>\n
Daha nadir olarak bakteri k\u00f6kenli enfeksiyonlar\u0131n bo\u011faz a\u011fr\u0131s\u0131na yol a\u00e7t\u0131\u011f\u0131n\u0131 ifade eden Op. Dr. G\u00f6khan G\u00fcvener, \u201cBunlar\u0131n aras\u0131nda da \u00f6zellikle bademcik iltihaplar\u0131nda streptokoklar \u00f6ne \u00e7\u0131kar. Ayr\u0131ca a\u015f\u0131lamayla b\u00fcy\u00fck oranda s\u0131kl\u0131\u011f\u0131 azalm\u0131\u015f olan difteri ve bo\u011fmaca bakterileri de sebepler aras\u0131nda say\u0131labilir. Vir\u00fcs enfeksiyonlar\u0131n\u0131n spesifik bir tedavisi yoktur ve antibiyotiklerden etkilenmezler. Bu durumda tedavi semptomlar\u0131n giderilmesine y\u00f6neliktir. Dinlenme, bol s\u0131v\u0131 al\u0131m\u0131, a\u011fr\u0131 kesiciler; burun t\u0131kan\u0131kl\u0131\u011f\u0131, geniz ak\u0131nt\u0131s\u0131 gibi ek bulgular varsa buna y\u00f6nelik tedaviler kullan\u0131labilir. Vir\u00fcs k\u00f6kenli enfeksiyonlar\u0131n ola\u011fan seyrinde, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin etkisiyle bulgularda hafifleme ve yakla\u015f\u0131k bir haftal\u0131k s\u00fcrede tam d\u00fczelme beklenir. Bo\u011faz enfeksiyonlar\u0131 daha nadir g\u00f6r\u00fclmelerine ra\u011fmen daha a\u011f\u0131r seyreden, \u00f6zellikle \u00e7ocuklarda komplikasyon olu\u015fturabilecek durumlard\u0131r.<\/p>\n
Bu durumda yine destekleyici tedavinin yan\u0131 s\u0131ra uygun antibiyotikler de tedavide yer almal\u0131d\u0131r. Bakteri ve vir\u00fcs k\u00f6kenli enfeksiyonlar\u0131 ay\u0131rmada kesin kriterler olmamakla birlikte, antibiyotik kullan\u0131m\u0131na karar verirken bu ayr\u0131m\u0131 yapabilmek \u00f6nemlidir. Bakteriyel enfeksiyonlarda bo\u011faz a\u011fr\u0131s\u0131 ve yutma g\u00fc\u00e7l\u00fc\u011f\u00fc \u00e7ok daha \u015fiddetli ve uzun s\u00fcrelidir. Genel durum daha belirgin olarak bozulmu\u015ftur, ate\u015f genellikle 38.3 derecenin \u00fczerinde ve diren\u00e7lidir. Bo\u011fazdaki muayene bulgular\u0131 (k\u0131zar\u0131kl\u0131k, mukoza d\u00fczensizli\u011fi, farenks bantlar\u0131nda \u015fi\u015flik gibi) daha belirgindir. E\u011fer bademcikler tutulduysa \u015fi\u015fmenin yan\u0131 s\u0131ra \u00fczerlerinde beyaz iltihabi d\u00f6k\u00fcnt\u00fcler g\u00f6r\u00fclebilir. Boyun lenf bezlerinde a\u011fr\u0131l\u0131 b\u00fcy\u00fcmeler g\u00f6r\u00fclebilir. Bakteriyel bo\u011faz a\u011fr\u0131lar\u0131nda; hap\u015f\u0131r\u0131k, \u00f6ks\u00fcr\u00fck, burun ak\u0131nt\u0131s\u0131 gibi di\u011fer bulgular daha siliktir veya hi\u00e7 yoktur.<\/p>\n
Doktorun uygulayaca\u011f\u0131 \u00e7e\u015fitli kan tetkikleri, h\u0131zl\u0131 streptokok testi ve bo\u011faz k\u00fclt\u00fcr\u00fc gibi testler de antibiyotik karar\u0131 vermede yard\u0131mc\u0131 olur. A\u011fr\u0131s\u0131n\u0131n daha nadir g\u00f6r\u00fclmekle birlikte enfeksiyon d\u0131\u015f\u0131 sebepleri de olabilir. Alerjiler, sa\u011fl\u0131kl\u0131 burun solunumu olmamas\u0131 ve a\u011f\u0131zdan nefes almaya ba\u011fl\u0131 bo\u011faz kurulu\u011fu, kirli havaya ve sigaraya maruz kalman\u0131n yol a\u00e7t\u0131\u011f\u0131 kronik tahri\u015f, a\u015f\u0131r\u0131 ba\u011f\u0131rma ve sesin k\u00f6t\u00fc kullan\u0131m\u0131na ba\u011fl\u0131 g\u0131rtlak ve adale a\u011fr\u0131lar\u0131, refl\u00fcye ba\u011fl\u0131 a\u011fr\u0131lar ve baz\u0131 t\u00fcm\u00f6rler bu sebepler aras\u0131nda say\u0131labilir. Genel olarak bir-iki haftadan uzun s\u00fcren bo\u011faz a\u011fr\u0131lar\u0131nda, olas\u0131 di\u011fer sebeplerin saptanmas\u0131 i\u00e7in doktor muayenesi \u00f6nerilmektedir\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
Kulak Burun Bo\u011faz Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. G\u00f6khan G\u00fcvener, vir\u00fcs enfeksiyonunun bulgusu olan bo\u011faz a\u011fr\u0131s\u0131n\u0131n, ki\u015finin ya\u015fam konforunu bozarak b\u00fcy\u00fck s\u0131k\u0131nt\u0131lara yol a\u00e7t\u0131\u011f\u0131n\u0131 belirtti. Avusturya Sen Jorj Hastanesi Kulak Burun Bo\u011faz Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. G\u00f6khan G\u00fcvener, \u201cBo\u011faz a\u011fr\u0131s\u0131 bir\u00e7ok rahats\u0131zl\u0131\u011f\u0131n belirtisi olarak ortaya \u00e7\u0131kabilir. Bo\u011fazda yanma ve hassasiyet olarak da ifade edilen ve […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[12715,8087,10074],"class_list":["post-84233","post","type-post","status-publish","format-standard","hentry","category-saglik","tag-bogaz","tag-sikinti","tag-yol"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/84233","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=84233"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/84233\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=84233"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=84233"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=84233"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}